Fields marked with (*)'s are required.
Contact Information
Company Name	(*)
Contact Person	(*)
Your Title	(*)
Phone Number	(*)
Fax Number
Email	(*)
Street
City	(*)
Zip Code
State/Country	(*)
How would you like to be contacted?	Choose One Phone Email
Website Information
Do you already have a Web Site?	Choose One Yes No   (*)
If so, what is your web address?
(*) Please indicate the method of processing you plan to utilize.	WSO Web Charge    WSO Check Charge
(*) Does your website use a Shopping Cart?	Yes   No
(*) Do you already have one?	Yes   No
Once your account is approved, perhaps you will need to set up one or more forms in your website to interact with the online payment gateway: Who will develop those forms?
	I already have a webmaster. He will take care  I think WEBstationONE will do. [1]  I do not sell online. I will use online processing to collect the credit card payments I receive in my premises
[1] Forms development prices vary according to the complexity of the form (on an hourly basis), therefore they will be quoted separately.
Additional Products & Services You Are Interested In
	Web Development
	Hosting
	Shopping Cart
	Database Applications
	Audio/Video Streaming
	Audio/Video Production
	Web Promotion
	Web Site Translation
	Foreign Language Development
Other. Please specify.
WEBstationONE respects your online privacy. We do not sell or rent the list of information collected. Our company will not give, trade, or sell personally identifiable information about you to any third parties. By Submitting Information to WEBstationONE You Understand and Agree That: WEBstationONE is under no obligation to evaluate, pusue, fund,or otherwise take any action with respect to the proposal you are submitting. Your proposal is confidential and will not be shared by WEBstationONE to anybody else than its affiliates, partners or third parties, for the sole purposes of this quotation.